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At what level of population cluster is elimination expected to be achieved?

Ideally elimination should be attained at all levels - regionally, nationally and at the community level. However, in view of the uneven distribution of the disease, it is not always possible to envisage attaining the targeted prevalence level of one in 10,000 population for every local population cluster. At the minimum, we hope to attain elimination levels at the national level, and for larger countries at the first sub-national level (province or state).